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What Causes Lightheadedness, Tingling Sensation In Face And Limbs While On Coversyl Plus?
Question: My blood pressure is normally at the Hypertension range & I usually tavke Covysal Plus.
I have been experiencing light headedness and my current reading have varied frim 145/52 to 111/51 stll some tingling in my face/skull & limbs not as dizzy though? Any thoughts?
I have been experiencing light headedness and my current reading have varied frim 145/52 to 111/51 stll some tingling in my face/skull & limbs not as dizzy though? Any thoughts?
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that your blood pressure values seem to be within the normal ranges.
You have a high pulse pressure (which is the difference between systolic and diastolic blood pressure), but this is a common thing at other healthy persons of your age and is not related to your symptoms.
I would like to know if your symptoms are modulated by standing up from sitting position. This would indicate possible orthostatic intolerance. I recommend you to closely monitor your blood pressure in sitting and standing up position. A decrease in your blood pressure more than 20mmHg during standing up from sitting position would be a strong argument in favor of orthostatic intolerance.
Besides, a metabolic disorder (changes in blood glucose, blood electrolytes, thyroid imbalance, chronic anemia) could lead to this symptomatology.
Indapamide, which is a component of Covysal Plus is known to lower potassium plasma levels, which could lead to this symptomatology.
I would recommend consulting with your attending physician for a careful physical exam and some blood lab tests:
- complete blood count for chronic anemia
- fasting blood glucose
- blood electrolytes, including potassium, sodium, calcium
- liver and kidney function tests
- thyroid hormone levels.
A head up tilt test would be necessary is suspicions of orthostatic intolerance are raised during physical exam.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that your blood pressure values seem to be within the normal ranges.
You have a high pulse pressure (which is the difference between systolic and diastolic blood pressure), but this is a common thing at other healthy persons of your age and is not related to your symptoms.
I would like to know if your symptoms are modulated by standing up from sitting position. This would indicate possible orthostatic intolerance. I recommend you to closely monitor your blood pressure in sitting and standing up position. A decrease in your blood pressure more than 20mmHg during standing up from sitting position would be a strong argument in favor of orthostatic intolerance.
Besides, a metabolic disorder (changes in blood glucose, blood electrolytes, thyroid imbalance, chronic anemia) could lead to this symptomatology.
Indapamide, which is a component of Covysal Plus is known to lower potassium plasma levels, which could lead to this symptomatology.
I would recommend consulting with your attending physician for a careful physical exam and some blood lab tests:
- complete blood count for chronic anemia
- fasting blood glucose
- blood electrolytes, including potassium, sodium, calcium
- liver and kidney function tests
- thyroid hormone levels.
A head up tilt test would be necessary is suspicions of orthostatic intolerance are raised during physical exam.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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